February 23, 2012

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Mastering Life Changes: How To Transition After Major Illness

After a patient has completed treatment for major illness, she transitions to a life that has been forever changed by this illness. There is usually very little help to guide the patient through these transitions.

Almost 10 years ago, I received radiation treatment for breast cancer. After the treatment, I was given very little information on how to care for myself so I can transition from being a patient to a survivor. Being a very proactive person, I took ownership of the transition process and did a great deal of research.
The medical community, represented by the AMA is now beginning to recognize the need to facilitate this transition. Oncologists are given incentive to prepare treatment summaries so the patient has adequate and accurate information to give to her primary physician.

In this article, my goal is to outline a few key areas that patients need to pay attention to after a major illness.

1. Crafting a plan to move from being sick to being well.

2. Creating exercise routines that enhance your wellness.

3. Mapping out some additions and deletions to your nutrition.

4. Attending to your emotional health after treatment.

5. Building a life plan for yourself.

As the medical and other communities become aware of the guidance gap for transitioning to post-treatment life, some organizations are now offering transition programs for patients. One such example is a program offered by the Singing River Health System.

I have learned from experience that I am the best advocate for my own wellness. There is a vast wealth of information available on the Internet. There are also many nutrition books and cancer survivors support groups. These resources are available for your use if you would take charge of your own progress.

What are some of your needs for transitioning to wellness? How might you go about meeting these needs? What other resources that you can tap into?

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Parenting Adult Children: How To Coach Them In Decision-making

When our children become adults, we no longer tell them what to do. Yet our young adults are not mature enough to handle many of the life decisions: where to live, how to budget, when to change jobs, what to look for when applying for a job… and the list can go on.

What is the role of the parent in all of these decisions? Clearly we don’t want to control, coerce, or manipulate to get them to do what we think is best. If we want our young adults to become confident and competent decision-makers, we need to coach them so they will learn the skill of evaluating and choosing.

Parents can benefit by developing a few coaching habits:

1. Listen well. Most people know how to arrive at good decisions if they are listened to. It is tempting for us parents to step in and short-circuit the discovery process by making suggestions and recommendations which may or may not fit with your child’s life station. Refrain from talking until you feel that you have a really clear picture of what your child is saying.

2. Echo back to your child what you have heard. Let your child know that you are listening by echoing back to him what you have heard. This allows you to test whether or not you are hearing accurately what he is saying. This also lets him know that you are listening.

3. Listen for strong emotions. When a child is expressing frustration, anger, excitement and passion, he is saying something is very important to him. Sometimes what your adult child needs is for someone to point out to him he has these strong feelings and that he has to pay attention.

4. Name the values. Values are what motivate us and drives us to action. For instance, if your child is trying to decide whether or not to change jobs, he is looking for something important to him but he is not able to find it in his current job. Help your child name his values, particularly the non-negotiable values, so he will choose a new job that matches his values.

5. Ask questions. If you ask open-ended questions, you are able to draw out your child. He will still be able to own his decision-making process and will not feel that he is doing what you want him to do.

What have been some challenges you face when trying to support your adult child’s decision-making? What would you like to change so you can be more effective at coaching your child?

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Christian Discipleship: Lent Is A Time To Receive

Christians think of Lent as a time of giving up something for Jesus. But God intends this to be a time for us to receive from his Son.

On that fateful Friday two thousand years ago, Jesus had been arrested in the Garden of Gethsemane and tried before the Sanhedrin, the high court of the Jews. They spit in his face, struck him, mocked and taunted him (Mt. 26:67-68). While the high priest and the officials were subjecting the Savior of the world to humiliation and physical abuse, Simon Peter was warming himself by the fire in the courtyard along with other servants of the high priest. This Simon Peter was the same disciple who not long ago had pledged unwavering loyalty to the point of death (Lk 22:33).

We approach Lent with the same kind of self-confidence: we give up sweets, ice cream, football, TV. video gaming, or pornography. This kind of self-denial arrests our appetites for excesses for a short time, only for them to re-surface after Easter with roaring vigor. And so each Ash Wednesday and Easter Sunday come and go without any fundamental transformation. We “spend money on what is not bread, and [our] labor on what does not satisfy” (Isaiah 55:2). When the weather is right, we gather around the fire to warm ourselves, with more sweets, ice cream, football, TV, video gaming, or pornography.

On each Ash Wednesday, the priest in the liturgical churches uses the ashes, made by burning the palm branches of the previous year, to make the sign of the cross on the foreheads of the believers. This sign is a call to fasting, repentance, and mourning; it is also a symbol that reminds us we are dust and to dust we shall return (Gen 3:19).

Giving up something is an expression of fasting, but to divorce fasting from mourning is to miss the first Beatitude in Jesus’ Sermon on the Mount. “Blessed are the poor in spirit, for theirs is the kingdom of heaven.” (Mt. 5:3) Perhaps the place to begin isn’t what creature comforts, addictive appetites, or innocuous idolatries we choose to abstain from for a limited period of time. Perhaps the place to begin is to take to heart our spiritual bankruptcy, our propensity to love the little idols more than we love God, and our unbelief about the transformative power of God’s Spirit. When we begin with this, our hands will be pried open to receive what God has to give us. We will no longer approach God as the resourceful givers who bring the gift of abstinence. Instead we will approach him as beggars. “Blessed are those who mourn, for they will be comforted.” (Mt. 5:4)

This above article will be part of a Lent series published on the Mustard Seed Associates blogsite of Godspace.

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Empty Nest Transition: 5 Ways To Overcome Depression

Empty nest blues are real, even though recent research shows that many parents look forward to the benefits of a childless household. One mom commented on a blogpost with these words: “I have lost the comfort of being a mom because my daughter is 17 and no longer needs me. I based my WHOLE entire being on being her mother and giving her all I had. I guess I thought we would be together forever. That is not the case. I have been downsized and laid off from almost every job I have had and now I have been let go of the most important job ever and that hurts the most.” In addition, I receive similar comments on my website and on the Facebook page I host for moms of adult children.

Empty nest depression refers to the persistent sadness triggered by the launching of young adult children. Parents feel a strong sense of loss and grief after the children leave home. Five years after my older child, and four years after my younger one, left for college, I continue to wrestle with the lingering grief. But grief is one of those strange emotions that linger and hit you when you least expect it, so we should not be surprised that it doesn’t quickly or completely disappear.

According to the research of 1000 women done by Caryn Rubenstein, author of Beyond the Mommy Years: How to Live Happily Ever After…After the Kids Leave Home, navigating the transition to empty nest gets easier if we are proactive.

I find that I can overcome more effectively when I am proactive and active. I have named five actions to overcome the empty nest blues and these have been my guiding stars each day.

Refocus on yourself. This is not being “selfish.” You have given twenty or more years to your children. Now it’s your time. You’re doing this not only for yourself, but also for your kids because they need to see that you’re ready to let go.

Renew your relationship with your spouse. If your conversations have been all about your offsprings, it’s time to find things to talk about that will connect with your spouse. Explore some new interests together. Why not try ballroom dancing, or gourmet cooking?

Renew your relationships with friends and relatives. What about the 80-year old aunt you’ve always wanted to visit? How about that cousin you haven’t seen since you graduated from college? How about that high school buddy that you ran into two weeks ago?

Explore some new roles. After investing most of your time and attention in your role as mom, you may feel like a military recruit on the battle field. Perhaps you can shift your perspective to think of yourself as the new kid on the playground. Go ahead, take your shoes off and get in the sandbox. Create your sandcastles or other structures. You make the rules and the sky is the limit.

Pursue your self-development. Is this a good opportunity to finish your college education you had suspended to raise children? How about taking a computer class to keep up with the technology of our day? What about pursuing that doctoral program you’ve always dreamed of?

How have you overcome the empty nest blues? What has worked for you?

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Parenting Adult Children: 5 Reasons You Should Stay Connected

Staying connected with adult children can be a challenge. Parents often wonder how much initiative we should take, without making our adult children feel we are pestering them. At times it is tempting to not take any initiative at all, because it feels one-sided to be doing all the work of maintaining the relationship.

Our two young adults are in their early 20’s. Our 23-year-old is very responsive when we initiate; her younger brother is a little more difficult to reach. Expecting either one of them to take initiative is rather unrealistic. My husband and I are adapting to the needs of the moment and try to arrange for get-togethers by texting instead of calling.

Regardless of how our young adults fail to pull the weight in maintaining the connection with us, we as parents still have very good reasons to do what it takes to stay connected. Here are the reasons:

1. They need mentoring and coaching. Our young adults don’t have extended family in the same city, are not active in their faith community, and are not involved in any organizations. Their relationships are mostly limited to those with peers. Even though they are living independently, they still need some older adults to mentor and coach them.

2. They need to practice their social skills on you. When young adults relate primarily to other young adults, they learn to relate only to the peers. To develop more well-rounded social skills, they need opportunities to interact with people from a wide variety of backgrounds and ages.

3. They need a sense of identity through the family. No matter how old or mature we are, we find our identity through our family. As the young adults are developing their own independent identity, it is even more important for them to understand how their family values have shaped who they are.

4. You need that connection with your children. As a mother, I need to stay connected with my children because that emotional connection is important for me to know who I am.

5. You are still the emotional well your adult children draw from. Even when your children are not living with you, you are still the emotional hub. Time with you fills up their emotional well so they can go and face the world.

What are some questions you have about staying connected with your adult children? What might be some other reasons for you to stay connected with them?

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Christian Discipleship: What Does Adoring God Mean?

To many Christians praying is an exercise of calling out to God the items on our laundry list. Christian leaders tried to teach Christ followers to pray by using the format ACTS.

A Adoration
C Confession
T Thanksgiving
S Supplication

Of these four items, Christians seem to struggle the most with adoration. Since most of us don’t really know what this is, we tend to begin to think God for the things that he has done for us, particularly for the times when he answered our prayers according to our will.

Adoration is not equivalent to Thanksgiving. While Thanksgiving is being grateful to God for what he has done for us, adoration is affirming and loving God for who he is. Recently, one of our pastors explained it like this, “God! You are ABC! And you are XYZ! I really like it!”

This sounds a bit like buttering up God. In fact it is our duty to butter him up because God is so much greater than we are. When we truly adore God for who he is, and not just for the things that he has done in our favor, our eyes are open to take in his greatness in his glory and at the same time we wake up to our own smallness.

When Isaiah saw the Lord in the temple, he immediately saw his own sinfulness and smallness. He said, “Woe is me, for I am a man of unclean lips” (Isaiah 6). With that corrected perception of his own status and size before God, he also had a sense of being commissioned by this great God. When God asked, “Who will go?” Isaiah responded, “Here I am. Send me!”

How do you exercise “adoration” in your prayer life? How do you keep from turning adoration into Thanksgiving? What did you learn when you were able to the door God for who he is, and not for what he has done for you?

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Mastering Life Transitions: Leveraging the Power of Inspiring Quotes

Life transitions are a time of change, and, often, confusion. Since the old map is no longer useful, you need a new map to show you how to get to the next destination.

This is a time when you can leverage the help of the experts who have been there. These experts could be an elder in your family, a professional counselor or life coach, or a mentor that you have a relationship with.

Another resource that can offer direction just at the right time are inspiring quotes. These quotes are insights generated by the heroes who have been farther along the road. They have learned the lessons and have distilled the insights into short and pithy sayings that can serve as road signs for those who come after them.

As I wrestled with my own tough transitions over the years, I have found solace in many quotes by famous people and in the Bible. In these quotes, I encountered the wise men and women of the ages, and I picked up their insights as tools in my toolbox. These quotes have helped me manage my emotions during challenging times and have provided me with direction when I needed it.

The following are just a few of my favorite quotes for mastering life changes.

“All misfortune is but a stepping stone to fortune.” Henry David Thoreau

“The greater the obstacle, the more glory in overcoming it.” Moliere

“Although the world is full of suffering, it is full also of the overcoming of it.” — Helen Keller

“We must embrace pain and burn it as fuel for our journey.” Kenji Miyazawa

“Our greatest glory is not in never falling, but in getting up every time we do.” Confucius

How have quotes helped you in the past? What are some of your favorite quotes?

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Parenting Adult Children: How To Resolve Emotional Dilemmas

When our children grow up to be adults, they will face emotional dilemmas.

Let me illustrate what I mean. My husband was 24 years old when he was away at graduate school. He was invited to the wedding of his close friend Steve. There was a conflict because his parents also invited him to a reunion with a family of close friends he grew up with. He felt the tug-of-war within him. He decided to go to the reunion event, but he felt very resentful and sad the whole time he was there.

Recently we were trying to work out the time and location for the holiday celebrations with our children. Our daughter seemed to have a difficult time deciding when and where to celebrate with us because she didn’t know what to do with her boyfriend. Should she ask for an invitation for her boyfriend? If she were to spend the night at our house, what can she do with her boyfriend, knowing that we would not allow them to spend the night together at our house? If she chooses to celebrate Christmas with her parents apart from her boyfriend, she would feel she was abandoning her boyfriend. How should she deal with this guilt?

In a Family Life article, the author describes how parents must release their children to grow independently when they get married. Her daughter Sarah was about to get married and she asked her mother to be strong at the wedding because if mom lost it, they would all lose it. This shows that mom is the emotional hub of the family.

Cutting the apron strings doesn’t begin all of a sudden when you walk your child down the aisle. Even in the day-to-day connections and interactions with our children, we have to cut the apron strings to release our children to grow, no matter how much it hurts. The more we are able to cut the emotional strings that tie down our children, the more e able to spread their wings to fly on their own.

How can we help our adult children resolve their emotional dilemmas?

1. Let your child decide. Never treat family get-togethers as an obligation. Make sure your child understands that these are invitations, not obligations.

2. Offer options that minimize or eliminate the dilemma. Sometimes changing the venue and the time may eliminate the conflict or dilemma. Helping out with transportation may also help if your child doesn’t have a car or other resources to get her to the venue. Including a boyfriend or girlfriend in the celebration, to the extent that they can respect your boundaries, will also help minimize the dilemma.

3. Refrain from loading guilt on your child. If you’re going to let your child decide, you might just hear a “no” answer. Don’t ever put your children on a guilt trip if they choose to spend time with someone else and somewhere else.

4. Assure your child of other opportunities for getting together. Unless the circumstances are unusual, or unless the relationships are estranged, grown children still want to stay connected with their parents. If they cannot participate, assure them of future opportunities to get together.

5. Be a big girl (for mom) or a big boy (for dad). In the end, we parents have to prove ourselves to be big boys and big girls. Cutting the apron strings and letting go is a painful experience, but like Sarah’s mom, we must be strong.

What have been some of your experiences of this type of emotional dilemmas? How did you help your child resolve these dilemmas? What tips can you share with us?

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Christian Discipleship: Why Small Group?

The Christian life is more than just attending religious events and activities. The Bible stresses how we must all grow up in Christ, but we cannot do this without being in relationship with one another.

Rick Warren, the founding pastor of the Saddleback Community Church, has been very instrumental in growing the importance of small groups among Christian communities in America. Warren is quoted, “The importance of helping members develop friendships within your church cannot be overemphasized. Relationships are the glue that holds a church together.”

My husband and I have been participating in and facilitating small groups for at least 30 years. Belonging to a small group has been such a big part of our Christian practice that we would not know who we are if we don’t along to a small community of believers. During these 30 years, we have nurtured other people’s faith even as others have nourished our spiritual development, supported others through the difficult times even as others have done the same for us, and have provided a sense of belonging even as we ourselves have been encouraged by belonging to a family group.

A few months ago, we started a new small group at our church that meets after Sunday morning worship. The group is made up of a very diverse mix of people: one Japanese, two Koreans, two Hong Kong Chinese, and four Caucasian Americans. Our ages range from mid-40s to late 70s. In spite of our differences, we bonded together quickly within a matter of a few weeks. One of the women in her 50s said, “I have been worshiping at this church for more than two years but I have not connected. This group has really become my family group. Now I feel I belong.”

This sentiment also echoes what best-selling authors, Les and Leslie Parrot, mean in their book Real Relationships.

By engaging in real relationships with one another, sharing our joys and sorrows, trials and triumphs, and successes and failures, we show each other how to walk with Jesus Christ. Rick Warren said, “Small groups can provide the personal care and attention every member deserves no matter how big the church becomes.”

Do you have a sense of belonging to a Christian community? What has been your experience in small groups? What have you learned about yourself and others by being engaged in real relationships? If you have never been involved in any small group before, what might you do to begin exploring small groups.

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Mastering Life Transitions: Why Seek Discomfort?

Facing life transitions is a time of dealing with discomfort. It’s a time to set new goals, find new direction, and search for new ways to make your life work. Are you at that place where you’re feeling uncomfortable about setting and reaching goals?

In a Wired Article, Dean Karnazes shared his journey with discomfort.

Dean Karnazes was a tequila party zealot before he became a marathon superhero. On this 30th birthday in August 1992, he was a slobbering drunk barely able to hold down his vomit before he got home. When he saw the sneakers on the floor, he thought it would be a good idea to go running. He stripped down to his T-shirt and underwear, laced up his sneakers and went out to run. When he found himself in Daly City, 15 miles later, he sobered up. Looking down at his scanty clothing, he felt ridiculous but also relished a sense of exhilaration. He decided to keep running till he logged 30 miles. The light bulb went on while he was running: he has a vast, untapped reservoir within him.

Fourteen years later, Karnazes has challenged every limitation of marathon running, many of these stories have been written up in his book Ultramarathon Man: Confessions of An All-Night Runner.

• He runs 30 miles each day in 4 hours.
• He has run 350 miles without sleep.
• A few months ago, he ran 50 marathons on 50 consecutive days in each of the 50 states.
• To make time to run, he sleeps 4 hours a day.

A couple of years ago, my husband and I were launching our then-19-year old son. I asked him, “What do you want in life?” He said, “I just want to be comfortable.”

Comfort has become a highly prized core value of Western culture and we embrace this value to our own detriment. In another interview with the Outside magazine, Dean Karnazes said, “Western culture has things a little backwards right now… We equate comfort with happiness. And now we’re so comfortable we’re miserable…What I’ve found is that I’m never more alive than when I’m pushing and I’m in pain, and I’m struggling for high achievement, and in that struggle I think there’s a magic.”

In response to my son’s comment about “comfort,” I said, “When you seek comfort, you’ll find discomfort; when you seek ease, you’ll end up with dis-ease.” At the time, he didn’t understand what I meant. Now, after he has had to struggle to earn a living for 2 years, he gets a taste of what Dean Karnazes meant by the magic of the struggle.

Discomfort is a powerhouse for us who navigate transitions because:

1. Discomfort is a powerful motivator, while comfort is a powerful demotivator. Muscles that don’t get exercised atrophy; discomfort provides the environment that requires us to exercise our muscles: physical, emotional, psychological, and spiritual.

2. Discomfort is often a sign of personal growth. When you’re stepping up from incompetence to competence, there will be discomfort. Just like they say, “No pain, no gain.”

3. Discomfort serves as a catalyst for growth. Without discomfort, it’s easy to slide back into what’s routine and familiar. Discomfort pushes us forward.

4. Discomfort builds the human spirit. It reveals the untapped potential within us and opens our eyes to the capabilities that have never been developed.

What are your feelings about discomfort? What experiences do you have about dealing with discomfort? How did you harness its power?
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